3 Musketeers Medical Group, A Medical Corporation | |
7455 N Fresno St Ste 202 Fresno CA 93720-2481 | |
(559) 942-1223 | |
Not Available |
Full Name | 3 Musketeers Medical Group, A Medical Corporation |
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Speciality | Internal Medicine |
Location | 7455 N Fresno St Ste 202, Fresno, California |
Authorized Official Name and Position | Jiakun Wang (PRESIDENT) |
Authorized Official Contact | 6154239545 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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3 Musketeers Medical Group, A Medical Corporation 7455 N Fresno St Ste 202 Fresno CA 93720-2481 Ph: (559) 942-1223 | 3 Musketeers Medical Group, A Medical Corporation 7455 N Fresno St Ste 202 Fresno CA 93720-2481 Ph: (559) 942-1223 |
NPI Number | 1306561030 |
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Provider Enumeration Date | 10/05/2022 |
Last Update Date | 11/21/2022 |
Medicare PECOS PAC ID | 8325416480 |
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Medicare Enrollment ID | O20221121001500 |
Identifier | Type | State | Issuer |
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1306561030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Michelle A Thomas |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1588674634 PECOS PAC ID: 5991782377 Enrollment ID: I20040702000680 |
Provider Name | Ashenafi A Legesse |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1992149231 PECOS PAC ID: 5496049116 Enrollment ID: I20160803001740 |
Provider Name | Jiakun Wang |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912177627 PECOS PAC ID: 3476611245 Enrollment ID: I20160810002692 |
Provider Name | Alireza Zadsalamat |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1548588635 PECOS PAC ID: 8729213335 Enrollment ID: I20170404000678 |
Provider Name | Armen H Bedrosian |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1356725329 PECOS PAC ID: 1052674462 Enrollment ID: I20180418000580 |
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